Individual provider Active NPI

Jerome Lindell Eason, LCMHC, LASUDC

  • Mental Health Counselor
  • St George, UT
National Provider Identifier
1669106530
Registry record updated Jul 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8648870-6004 Issued in UT
Practice address
169 W 2710 South Cir Ste 202a
St George, UT 84790-7205
Phone
(435) 760-0133
NPI assigned
Jul 14, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 8648870-6004 UT Primary

Addresses

Primary practice location

169 W 2710 South Cir Ste 202a
St George, UT 84790-7205

Mailing address

169 W 2710 South Cir Ste 202a
St George, UT 84790-7205
Phone (435) 652-0645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8648870-6004UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Aim Counseling LLC Mental Health Current Accepting new patients

Locations

169 W 2710 South Cir
Ste 202A
St George, UT 84790
Phone (435) 200-1421

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658016000000",
    "number": "1669106530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 W 2710 SOUTH CIR STE 202A",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907205",
            "telephone_number": "435-652-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 W 2710 SOUTH CIR STE 202A",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907205",
            "telephone_number": "435-760-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASON",
        "first_name": "JEROME",
        "middle_name": "LINDELL",
        "credential": "LCMHC, LASUDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-17",
        "certification_date": "2022-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "8648870-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.